PEX3

protein-coding

peroxisomal biogenesis factor 3, the group of Peroxins

Gene summary

The product of this gene is involved in peroxisome biosynthesis and integrity. It assembles membrane vesicles before the matrix proteins are translocated. Peroxins (PEXs) are proteins that are essential for the assembly of functional peroxisomes. The peroxisome biogenesis disorders (PBDs) are a group of genetically heterogeneous autosomal recessive, lethal diseases characterized by multiple defects in peroxisome function. The peroxisomal biogenesis disorders are a heterogeneous group with at least 14 complementation groups and with more than 1 phenotype being observed in cases falling into particular complementation groups. Although the clinical features of PBD patients vary, cells from all PBD patients exhibit a defect in the import of one or more classes of peroxisomal matrix proteins into the organelle. Defects in this gene are a cause Zellweger syndrome (ZWS). [provided by RefSeq, Oct 2008]

MANE transcript

NM_003630.3

Inheritance

AR

ClinVar variants

P:42U:144B:85

Top phenotype

Peroxisome biogenesis factor disorder 3; Peroxisome biogenesis disorder 10A (Zellweger); Peroxisome biogenesis disorder 10B

gnomAD constraint

pLI —, LoF o/e 0.31

Max pathogenic AF

—

Genomic locus

chr6:143,450,805-143,490,616

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~39.8 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

peroxisome biogenesis disorder 10A (Zellweger)STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013948

Submitter: Labcorp Genetics (formerly Invitae)

peroxisome biogenesis disorder 10A (Zellweger)MODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0013948

Submitter: Ambry Genetics

peroxisome biogenesis disorderSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0019234

Submitter: PanelApp Australia

peroxisome biogenesis disorderDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019234

Submitter: ClinGen

The relationship between PEX3 and peroxisome biogenesis disorder (types 10A and 10B included), an autosomal recessive disorder, was evaluated using the ClinGen Clinical Validity Framework as of July 19, 2019. PEX3 encodes a peroxisome membrane protein involved in early peroxisome membrane biosynthesis prior to matrix protein import. Peroxisomal biogenesis disorders are caused by defects in various stages of peroxisomal protein import and/or peroxisome biogenesis, involving at least 14 PEX genes. PEX3 belongs to complementation group G and mutations in the gene result in cells devoid of peroxisomal remnants (Waterham and Ebberink 2012, PMID 22871920). PEX3 was FIRST reported in relation to autosomal recessive Peroxisome biogenesis disorder in 2000. (Muntau et al, PMID: 10958759; Shimozawa et al, PMID: 10942428; Ghaedi et al, PMID: 10968777). At least 8 nonsense, splice site, frameshift and missense variants have been reported in humans. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Summary of Case Level Data (12 points): Variants in this gene have been reported in at least 8 probands in 8 publications (PMIDs 10958759, 27557811, 28673549, 23245813, 10968777, 10942428, 20033294, 21031596). Variants in this gene segregated with disease in 1 additional family member. The mechanism for disease is expected to be homozygous loss of function. Summary of experimental data (4.5 points): This gene-disease association is supported by in vitro functional assays and animal models (PMIDs 10958759, 21826223, 12096124). In summary, PEX3 is definitively associated with autosomal recessive Peroxisome biogenesis disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Peroxisomal Disorders GCEP on Nov 1, 2019 (SOP Version 7).

peroxisome biogenesis disorder 10BSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0054549

Submitter: G2P

Zellweger spectrum disordersSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019609

Submitter: Orphanet

peroxisome biogenesis disorder 10A (Zellweger)DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013948

Submitter: G2P

Clinical Genomic Database (CGD)

Peroxisome biogenesis factor disorder 3; Peroxisome biogenesis disorder 10A (Zellweger); Peroxisome biogenesis disorder 10BAR

Manifestation: Biochemical; Craniofacial; Gastrointestinal; Genitourinary; Musculoskeletal; Neurologic; Renal

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 10968777; 10679269; 10942428; 27557811Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PEX3 variants in ClinVar

8 Conditions Cataloged
not providedTotal: 347
PEX3-related disorderTotal: 42
not specifiedTotal: 34
Inborn genetic diseasesTotal: 27
Peroxisome biogenesis disorder 10A (Zellweger)Total: 27
Peroxisome biogenesis disorder 10BTotal: 5
Peroxisome biogenesis disorderTotal: 4
Peroxisome biogenesis disorder 1A (Zellweger)Total: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003630.3. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
4
clinvar
81
clinvar
85
missense
6
clinvar
137
clinvar
4
clinvar
147
nonsense
8
clinvar
4
clinvar
1
clinvar
13
start loss
1
clinvar
1
frameshift
9
clinvar
3
clinvar
1
clinvar
13
splice donor/acceptor (+/-2bp)
1
clinvar
10
clinvar
1
clinvar
12
Total1824144850271

Highest pathogenic variant AF is 0.000017793545

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 21 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003630.3RefSeqNP_003621.112MANE Select
ENST00000367591.5EnsemblENSP00000356563.412MANE Select
ENST00000367592.5EnsemblENSP00000356564.17Standard
ENST00000918413.1EnsemblENSP00000588472.112Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Peroxisome - Homo sapiens (human)
  • ABC transporters in lipid homeostasis
  • Transport of small molecules
  • ABC-family proteins mediated transport

Biological Process

  • peroxisome organization
  • peroxisome membrane biogenesis
  • protein import into peroxisome membrane
  • transmembrane transport

Molecular Function

  • protein binding
  • lipid binding
  • protein binding, bridging
  • protein dimerization activity

Cellular Component

  • nucleoplasm
  • peroxisome
  • peroxisomal membrane
  • integral component of peroxisomal membrane
  • endoplasmic reticulum

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000367591
Coding exons
12
Length
39204
Individuals with no LoFs
125722
Homozygous LoFs
0
Heterozygous LoFs
26
Defined
125748
p
0.000103
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.191451910.7590.000008902439
Missense (PolyPhen)3764.3080.57536846
Synonymous0.7036067.30.8910.00000317695
Loss of Function3.26825.90.3090.00000153276

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American0.000200.00020rare
Ashkenazi Jewish0.0000990.000099rare
East Asian0.0000540.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000970.000097rare
South Asian0.000160.00016rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Involved in peroxisome biosynthesis and integrity. Assembles membrane vesicles before the matrix proteins are translocated. As a docking factor for PEX19, is necessary for the import of peroxisomal membrane proteins in the peroxisomes. {ECO:0000269|PubMed:10848631, ECO:0000269|PubMed:15007061}.;
Disease
DISEASE: Peroxisome biogenesis disorder 10A (PBD10A) [MIM:614882]: A fatal peroxisome biogenesis disorder belonging to the Zellweger disease spectrum and clinically characterized by severe neurologic dysfunction with profound psychomotor retardation, severe hypotonia and neonatal seizures, craniofacial abnormalities, liver dysfunction, and biochemically by the absence of peroxisomes. Additional features include cardiovascular and skeletal defects, renal cysts, ocular abnormalities, and hearing impairment. Most severely affected individuals with the classic form of the disease (classic Zellweger syndrome) die within the first year of life. {ECO:0000269|PubMed:10848631, ECO:0000269|PubMed:10958759}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Peroxisome biogenesis disorder 10B (PBD10B) [MIM:617370]: A moderately severe peroxisome biogenesis disorder belonging to the Zellweger disease spectrum. PBD10B is characterized by neonatal jaundice, dysmorphic features, delayed psychomotor development, axial hypotonia that can progress to severe spastic paraparesis with hyperreflexia, nephrocalcinosis, neurogenic bladder, nystagmus, and cataracts. Laboratory studies show increased levels of very long-chain fatty acids. Inheritance is autosomal recessive. {ECO:0000269|PubMed:27557811}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.249

Intolerance Scores

LoFtool
0.593
RVIS EVS
-0.07
RVIS percentile EVS
48.12

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.731

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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